Last Updated: 12/23/2024 5:22:52 AM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
MAGNOLIA SPECIALTY PHARMACY INC |
License Number |
99-7963 |
Type of Pharmacy |
Non-Resident |
Address |
16 KEYSTONE DRIVE, STE B |
City, State, Zip |
HATTIESBURG,
MS 39402 |
Country |
|
Issue Date |
06/16/2017 |
Renewed Date |
06/15/2018 |
Expiration Date |
06/30/2019 |
End Date |
12/30/2018 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
TODD ANTJAUN LEE - 17359 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|